Provider Demographics
NPI:1407828114
Name:NORTHWEST CANCER SPECIALISTS PC
Entity Type:Organization
Organization Name:NORTHWEST CANCER SPECIALISTS PC
Other - Org Name:COMPASS ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-280-1223
Mailing Address - Street 1:PO BOX 846049
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-6049
Mailing Address - Country:US
Mailing Address - Phone:360-597-1300
Mailing Address - Fax:360-597-1400
Practice Address - Street 1:1498 SE TECH CENTER PL
Practice Address - Street 2:SUITE 240
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9591
Practice Address - Country:US
Practice Address - Phone:360-597-1300
Practice Address - Fax:360-597-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR130306Medicaid
WA7099401Medicaid
ORR105512Medicare PIN
OR130306Medicaid